COUNSELING THEORIES & PRACTICE
(Extra points for naming the Theory when it is not given or the answer itself)
(Extra points for naming the Theory when it is not given or the answer itself)
This method of counseling focuses on simultaneously learning new behaviors and restructuring automatic thoughts.
Cognitive-behavioral therapy (CBT)
Referred to as the DSM-5-TR for short, ____ is considered an expansive catalog of mental illness.
The Diagnostic Statistical Manual of Mental Disorders, 5th edition, Text Revision
These two (2) ethical values are defined as the obligation to do good, & do no harm.
Beneficence & Nonmaleficence (Non malfeasance)
A theory of addiction that considers addiction to be a biomedical event rather than a social issue.
The Medical model of Addiction (Medical Model)
The procedures by which a counselor/program identifies and evaluates an individual’s strengths, weaknesses, problems, and needs for the development of a treatment plan.
Assessment
Known as the traditional method where family and friends of the individual with a psychoactive substance use disorder confront them about their destructive habits and the impact the disorder has on the participant’s lives.
The Johnson Model Intervention
The publishers of the DSM designed the DSM-5-TR to improve the accuracy of psychiatric diagnoses by measuring the severity of a disorder in the revising of the manual’s text.
The American Psychiatric Association
One is the legal and ethical obligation a provider has to report cases of abuse, neglect and exploitation; the other is a legal and ethical obligation a provider has to warn another individual of impending danger.
Duty to Report, & Duty to Warn (must be in the correct order)
The physiological cause of most deaths due to opiate overdose.
Respiratory Depression
Activities intended to bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals; it may include liaison activities and collateral contacts.
Case Management
A form of positive reinforcement and scientifically proven technique of behavioral therapy where tokens, rewards, or other low-cost incentives are given for periods of abstinence.
This practice is commonly used in twelve-step programs and other treatment programs.
Contingency Management, or Behavioral Contracting, or Motivational Incentives, or Intermittent Conditioning (all are acceptable – no points for “positive reinforcement” or “behavior therapy”)
The only currently accepted process disorder included in the DSM-5-TR which one must present with at least four of the eleven criteria within the last 12 months in order to receive a diagnosis.
Gambling Disorder (Gambling)
This defines the services that a provider is deemed competent to perform – based on education, training, skills development, and supervised experience.
Scope of Practice or (Boundaries of Competence)
A secondary system of the autonomic nervous system that, when activated, will decrease breathing, heart rate, etc.
The Parasympathetic Nervous System (PNS)
The Global criteria of this function include providing an overview of: program goals and objectives for client care; describing program rules, client obligations and rights; and program operations.
Orientation
Described as the six basic roles family members assume in a family organized around substance use disorder.
Substance Abuser, Enabler, Hero, Scapegoat,
Lost Child, & Mascot (Wegsheider-Cruse Theory, + 50 Points)
These are the three (3) classes of psychoactive substances which do not met the standard eleven diagnostic criteria as other psychoactive substances; the first two classes do not possess withdrawal symptoms & the third does not qualify as a disorder at all, however it does still present with intoxication and withdrawal.
Inhalants, PCP & Other Hallucinogens, & Caffeine
These are the four (4) required elements of a written consent to a disclosure/release of information defined by 42 CFR part 2.
This occurs when the neuron senses that there are too many neurotransmitters (such as those forced out by drugs of addiction). The Neuron retracts many of the receptor sites into the cell, causing a slowdown in message transmission from neuron to neuron.
Excessive use of psychoactive substances can cause a permanent decrease in receptor site availability.
Down-Regulation (“Regulation” alone is not acceptable)
A widely used screening tool for adolescents, commonly known by the acronym POSIT.
Problem-Oriented Screening Instrument for Teenagers
Defined as unexpressed feelings from childhood that now interfere with healthy functioning
Unfinished Business (Gestalt Therapy, +50 points)
The eleven (11) multiaxial diagnostic criteria used to determine the presence & severity of a substance use disorder based on the number of symptoms present within the last 12 months.
Withdrawal,
Harm-physical or psychological,
Amount,
Tolerance,
Craving,
Obligation-failing to meet,
Social Problems, Time spent trying to get/use/recover from, Risk-risky behavior, Importance, Control-tried to cutback or control
Known as the nine exceptions to confidentiality of which providers are ethically obligated to advise their clients in writing about and determined by federal and state laws.
This enzyme is the first to metabolize alcohol in the liver turning it into acetaldehyde, which can be poisonous in large amounts.
Women naturally have less of this enzyme, which is attributed to slower alcohol absorption for women than men
Alcohol Dehydrogenase (ADH) or Dehydrogenase (both are acceptable answers)
These are five (5) of the most commonly used screening tools for alcohol &/or substance use – not including the “brief”, “short”, and alternative versions of the same tools.